曾群英

[关键词] 早期护理;深Ⅱ度烧伤创面;创面愈合;瘢痕程度

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）23-0169-04

Observation on the effect of early nursing care on the wound healing of deep second-degree burns

ZENG Qunying

Department of Burn Wound Repair，The First Affiliated Hospital of Gannan Medical University，Ganzhou   341000，China

[Abstract] Objective To explore the effect of early nursing care on the wound healing of deep second-degree burns.Methods 64 patients with deep second-degree burns who were admitted to our hospital from April 2018 to April 2020 were selected as the study subjects.According to the random number table method，the patients were divided into a control group （32 cases） and a study group （32 cases）. The control group was given routine nursing care，and the study group was given early nursing care.The scar score，average wound healing rate，wound healing satisfaction rate and quality of life scores were observed and compared between the two groups. Results The scar scores in the study group were （8.69±0.45） points and （4.73±0.25） points at one month and three months after nursing care，which were lower than those of （12.34±1.36） points and （7.64±0.58） points in the control group.The differences between the two groups was statistically significant （P<0.05）.After nursing，the quality of life score in the study group was （88.55±2.67） points，which was higher than that of （75.69±3.71） points in the control group，and the difference between the two groups was statistically significant （P<0.05）.The satisfaction rate of wound healing in the study group was 93.76%，which was higher than that of 71.88% in the control group，and the difference between the two groups was statistically significant （P<0.05）.The average wound healing rate in the study group was （90.24±3.12）%，which was higher than that of （72.16±4.34）% in the control group，and the difference between the two groups was statistically significant （P<0.05）. Conclusion Early nursing care for patients with deep second-degree burns can effectively promote wound healing，reduce scars，and improve the patients' quality of life and satisfaction rate of wound healing.

[Key words] Early nursing care;Deep second-degree burn wounds;Wound healing;Scare degree

深II度燒伤是指由高温固体、火焰或者强辐射热所造成的组织损伤，以红色或白色水疱底部且充满黏稠、清澈液体为临床特征，患者烧伤区出现皮肤变形、皱缩，可严重影响外观、活动功能，使生活质量降低[1]。为了防治瘢痕，需对烧伤患者实施相应的护理干预，以促进创面良好愈合，减轻瘢痕程度，而实施常规护理对创面愈合干预模式单一，愈合进度缓慢，且大多数患者瘢痕程度较高。有研究[2-3]表示早期护理在促进烧伤创面愈合中发挥积极作用，早期护理倡导缩短患者治疗时间和康复时间，提高其临床效益，通过预防影响创面愈合的因素，尽早实施护理干预和愈合治疗，可最大限度减少创面瘢痕程度，满足患者创面愈合的需求，提高其满意率。鉴于此，本研究选择我院2018年4月至2020年4月接收的64例深Ⅱ度烧伤患者进行对照分析，探讨早期护理对深Ⅱ度烧伤创面愈合效果的影响，现报道如下。

1 资料与方法

1.1一般资料

在本院伦理委员会批准下，选择我院2018年4月至2020年4月接收的64例深Ⅱ度烧伤患者作为研究对象，按照随机数字表法分组，将其分为参照组（32例）与研究组（32例），所有患者对本研究知情，且同意参与研究。参照组：男17例，女15例;年龄范围20～65岁，平均年龄（45.74±6.68）岁;热液烫伤18例，火焰烧伤14例。研究组：男性19例，女性13例;年龄范围22～68岁，平均年龄（45.16±6.92）岁;热液烫伤15例，火焰烧伤17例。两组一般资料差异无统计学意义（P>0.05），有可以性。